DR. KEVIN BRADLEY GARNER


Address: 6812 State Route 162, Suite 204, Maryville, IL 62062-8553
Phone: 6182882120

DR. KEVIN BRADLEY GARNER (NPI# 1922159037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922159037
Entity Type Individual
Full Name DR. KEVIN BRADLEY GARNER
Credential M.D.
Practice Address 6812 State Route 162
Suite 204
Maryville
IL 62062-8553
Practice Telephone 6182882120
Practice Fax Number 6182882123
Mailing Telephone 6182882120
Mailing Fax Number 6182882123
Enumeration Date 2007-01-15
Last Update Date 2013-01-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 036074997 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036074997 05

Other Providers KEVIN GARNER

NPI Name Taxonomy Address Enumeration
1104333764 Kevin Garner Counselor 727 Owen Dr # A-c, Huntington Beach, CA 92648-2588 2018-01-04
1467095596 Kevin Garner Case Manager/Care Coordinator 1501 Madison Rd, Walnut Hills, OH 45206-1706 2019-10-22
1033321377 Kevin W Garner Dentist 23 E Brundage St, Sheridan, WY 82801-6302 2007-05-07
1225014053 Kevin Edward Garner Social Worker 515 Sternberg Ave, Usa Meddac Asap, Fort Eustis, VA 23604 2005-12-22
1740275346 Kevin F Garner Internal Medicine 620 10th Street N., St. Petersburg, FL 33705-1407 2005-09-20

Office Location

Street Address 6812 STATE ROUTE 162
SUITE 204
City MARYVILLE
State IL
Zip Code 62062-8553

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447252978 Brett R Grebing Orthopaedic Surgery 6812 State Route 162, Suite 123, Maryville, IL 62062 2005-08-15
1114454733 Michael Barajas Physician Assistant 6812 State Route 162, Suite 120, Maryville, IL 62062-8553 2017-05-12
1043757867 Alyssa Ruwe Nurse Practitioner 6812 State Route 162, Suite 123, Maryville, IL 62062-8553 2017-01-31
1689092132 Alyssa Ryanne Goddard Verheyen Nurse Practitioner 6812 State Route 162, Suite 202, Maryville, IL 62062-8553 2014-04-02
1922348002 Laura E. Mckinzie Nurse Practitioner 6812 State Route 162, Suite 21, Maryville, IL 62062-8553 2013-02-26
1053656298 Alan Michael Meredith Physician Assistant 6812 State Route 162, Suite 21, Maryville, IL 62062 2012-11-28
1124261219 Maryville Physicians Services Inc Orthopaedic Surgery 6812 State Route 162, Suite 123, Maryville, IL 62062-8553 2009-04-20
1912117912 Edmundo Alejandro Rodriguez Internal Medicine 6812 State Route 162, Suite 204, Maryville, IL 62062 2007-05-22
1942422498 Ryan Diederich Surgery 6812 State Route 162, Maryville, IL 62062-8553 2007-05-03
1700960572 Rodney L. Greeling Internal Medicine 6812 State Route 162, Ste 21, Maryville, IL 62062 2006-10-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104325091 Jennifer M Oyler Physician Assistant 6812 State Route 162 Suite 120, Maryville, IL 62062 2018-02-06
1710495965 Sarah Elizabeth Barto Family Medicine 2133 Vadalabene Drive, Suite Sb, Maryville, IL 62062 2018-01-22
1104348085 Lindsey Nicole Langendorf Chiropractor 62 Executive Plaza Ct, Maryville, IL 62062 2017-07-12
1043750540 Gina Saal Nurse Anesthetist, Certified Registered 6800 Rt 162, Maryville, IL 62062 2017-03-02
1548657737 Karen Michelle Bertels Emergency Medicine 6800 Il - 162, Maryville, IL 62062 2015-04-25
1811258148 Debra Ann Hoelscher Internal Medicine 2102 Vadalabene, Maryville, IL 62062 2012-06-04
1538438445 Casey Elizabeth Wiesemeyer Speech-Language Pathologist 2201 Copper Creek Rd, Maryville, IL 62062 2011-12-21
1407144819 Norah Claire Farley Baker Family Medicine 10 Professional Park Dr., Maryville, IL 62062 2011-07-19
1891092474 Kimberly M Schneider Physician Assistant 20b Professional Park Drive, Maryville, IL 62062 2011-02-17
1669782397 Purandhri Patel Physical Therapist 6820 State Route 162, Maryville, IL 62062 2010-10-15
Find all providers in zip 62062

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669737706 Vamsi Nukala Internal Medicine 2090 Vadalabene Dr Ste 1, Maryville, IL 62062-5841 2012-07-04
1811258148 Debra Ann Hoelscher Internal Medicine 2102 Vadalabene, Maryville, IL 62062 2012-06-04
1184932485 Complete Family Care of Maryville, Pllc Internal Medicine 2004 E. Broadway, Maryville, TN 37804 2010-09-21
1609912054 Carole Louise Long Internal Medicine 2036 Chilhowee Professional Park, Maryville, TN 37804-5285 2007-01-30
1790862803 Ibrahim F Shalaby Internal Medicine 463 Bmh Physician Office Bldg, Maryville, TN 37804-5807 2006-11-01
1912084096 Komal H Kirpekar Internal Medicine 365 Bmh Physicians Office Bldg, Maryville, TN 37804-5820 2006-11-01
1952332918 Tibor Charles Kopjas Internal Medicine 2118 Vadalabene Dr, Maryville, IL 62062-5632 2006-07-06
1891721379 Kim H Cline Internal Medicine 111 Station Dr, Maryville, TN 37804-4190 2006-06-25
1558307181 David Allan Cox Internal Medicine 1131 E Lamar Alexander Pkwy, Maryville, TN 37804-5130 2006-06-21
1225078454 Joseph Duane Payne Internal Medicine 1103 E. Lamar Alexander Pkwy, Maryville, TN 37804 2006-06-07
Find all providers in MARYVILLE

Competitor

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City MARYVILLE
Zip Code 62062

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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